Research Article

The Complications of Sinusitis in a Tertiary Care Hospital: Types, Patient Characteristics, and Outcomes

Table 1

Type of complication from sinusitis.

Type(s) of complicationPatients (%)Details

158 (68.3%)Local: 14
  9 cases of mucocele, 2 cases of facial cellulitis, 2 cases of facial abscess, and 1 case of osteomyelitis
Orbital: 16
  5 cases of periorbital cellulitis, 5 cases of orbital cellulitis, and 6 cases of subperiosteal abscess (SPOA)
Intracranial: 13
  5 cases of meningitis, 2 cases of meningitis with frontal abscess, 1 case
  of temporal abscess, 1 case of midbrain abscess   and CN VII palsy (UMNL), and 4 cases of
  meningitis with other complications
Cranial nerve (CN) palsy: 15
  2 CN II cases
  4 CN III cases
  1 CN IV case
  3 CN VI cases
  1 CN III, CN IV case
  1 CN III, CN VI case
  3 CN III, CN IV, and CN VI cases

217 (20%)3 mucocele cases
  2 with SPOA and 1 with optic neuropathy
8 SPOA cases
  4 with CN palsy (limitation of EOM all directions, visual loss)
  3 with facial cellulitis/abscess
  1 with osteomyelitis
4 periorbital/orbital cellulitis cases with facial cellulitis/abscess
1 orbital cellulitis and superior ophthalmic vein thrombosis with meningitis
1 transverse and sigmoid sinus thrombosis with bilateral CN VI palsy

38 (9.4%)6 cavernous thrombosis cases
  3 CN II, CN III, CN IV, and CN VI cases
  1 CN II, VI case
  1 CN III, VI case
  1 CN II, VII case
1 orbital and facial abscess case with blindness
1 orbital cellulitis, scalp abscess, lid abscess, and superior sagittal sinus thrombosis case

42 (3%)2 cases of cavernous sinus thrombosis with facial abscess or cellulitis

SPOA: subperiosteal abscess; UMNL: upper motor neuron lesion; CN: cranial nerve; EOM: extraocular movement.
Hydrocephalus, DIC, sepsis, prevertebral abscess, and transverse and sigmoid sinus thrombosis.